1. By: Jennifer mott, Lesley Morgan, & Candace walma
Diabetic Screening
By: Jennifer mott, Lesley Morgan, & Candace walma

2. Introduction
This power point presentation is about diabetic screening for inpatients.
Included in the following slides is literature reviewed scholarly articles with information highlighting:
Vulnerable populations
Impact of health in different cultures
Risk factors of health on the population
Statistics about the at risk population
Environmental and community risk factors
Health promotional theory
Goals related to Healthy People 2020
Plan of action and Implementation addressing the goals of Healthy People of 2020

3. Vulnerable Populations
Intervene
Educate
Prevent complications
Out of 460 inpatients screened for diabetes, 39.1% had prediabetes, (Ochoa, Terrel, Vega, Mnjoyan, Klein, & Binkley, 2014)
Hypertension shown to be a correlation to the pre-diabetics screened
Frequency and effects of diabetes screening should be based off American Diabetes Association standards
Demographics
-According to the literature that was reviewed, it is important to intervene when possible to educate the population if they are at risk for diabetes, or have early onsets. The goal of encouraging health promotion on the diabetic screening is to prevent complications that can occur from undiagnosed diabetes.
-According to Ochoa, Terrel, Vega, Mnjoyan, Klein, & Binkley, 2014, 460 patients screened for diabetes in the inpatient status of a study done in a hospital in Texas, 39.1% had prediabetes- age and hypertension were shown to have a correlation to diabetes. Understanding the risk factors is what can help with identifying if there needs to be an early intervention for diabetes and with a percentage so high, providing more education can be beneficial to intervene before complications can occur.

4. Risk factors of health on the population
Nationally representative sample in a cross sectional study done on subjects showed that 713 of them had undiagnosed diabetes (Lee, Armstrong, Kim, Oh, Kang, Lee, B., Kang, 2015)
Showed higher risk for cardiometabolic profile
Undiagnosed hypertension and hyper-low-density lipoprotein cholesterolemia,
Risk factors were obesity and smoking
Risk for complications with cardiovascular disease
Lee, Y., Armstrong, E., Kim, G., Oh, J., Kang, S., Lee, B., Kang, E. (2015), conducted a study which showed that people who don’t have control of their diabetes have a higher risk for cardiometabolic profile.

5. Impact of health in different cultures
The recommendation for prediabetic screening starts at age 40 and obesity unless they are of one of the following races or ethnicity according to the U.S. Preventative Task Force of 2015 (Sia, 2015)
African Americans
American Indians
Alaskan Natives
Asian Americans
Hispanics or Latinos
Native Hawaiians or Pacific Islanders
These races and ethnicities are at increased risk for diabetes at a younger age and lower body mass index (Sia, 2015)

6. Goals related to healthy people 2020
The goal of Healthy People 2020 for diabetic prevention is to “Reduce the disease and economic burden of Diabetes Mellitus (DM) and improve the quality of life for all persons who have, or are at risk for, DM” (HealthyPeople.gov, 2015).
Educate communities
Empower with knowledge
Early detection and motivation
Take control own health situations
Encourage better choices
Healthypeople.gov.(2015). Diabetes. Retrieved from

7. Plan of Action and Implementation
Ages 40 to 70 who are overweight or obese should be tested for diabetes (Sui, 2015).
Cardiovascular risk factors such as hyperlipidemia and hypertension
Screen and check blood sugar with the appropriate follow-up

8. Continued Plan of Action and Implementation for Goals
Promotion in the hospital setting and followed up with a PCP
Correlating risk factors such as: obesity, hypertensive or hyperlipidemia should have a result of an a1c, fasting plasma glucose or have a glucose tolerance test (Siu, 2015)
Elevated blood sugar levels should receive behavioral interventions along with pharmacological interventions (Siu, 2015)

9. References
HeallthyPeople.gov. (2015). Diabetes. Retrieved from objectives/topic/diabetes
Lee, Y., Armstrong, E., Kim, G., Oh, J., Kang, S., Lee, B., Kang, E. (2015) Undiagnosed diabetes is prevalent in younger adults and associated with a higher risk cardiometabolic profile compared to diagnosed diabetes.  American Heart Journal, 170(4), e2 1p. doi: /j.ahj
Kanaya, A. M. (2015). Personalizing diabetes prevention: Is it time to focus on the intervention?. JGIM: Journal of General Internal Medicine, 30(11), p. doi: /s
Ochoa, P. S., Terrell, B. T., Vega, J. A., Mnjoyan, S. Z., Lu, C., Klein, M. S., & Binkley, G. W. (2014). Identification of previously undiagnosed diabetes and prediabetes in the inpatient setting using risk factor and hemoglobin A1C screening. Annals of Pharmacotherapy, 48(11), p. doi: /
Pender, N. J., Murdaugh, C. L. & Parsons, M. A. (2015). Health promotion in nursing practice (7th ed.). Upper Saddle River, NJ: Pearson.
Siu, A. L. (2015, October). Screening for abnormal blood glucose and type 2 diabetes mellitus: U.S. preventative services task force recommendation statement. In U.S. Preventative Task Force. Retrieved from file:///C:/Users/Owner/Downloads/type2finalrs%20(2).pdf doi: /M